Wild West Tournament Application

Please note:  ALL team members must fill out Release Form before Application will be submitted to committee for approval

2017 Wild West Application

Registration is now CLOSED due to reaching our 50 team limit. If you would like to be placed on our waiting list, please fill out the application and mail in your $500 deposit. You will be notified on March 16, 2017 if you made the line up. If your team did not make the line up, your deposit will be refunded to you. 

Team Name (required)

Captain's Name (required)

Phone Number (required)

Captain's Email (required)

Co-Captain's Name (required)

Co-Captain's Phone Number (required)

Co-Captain's Email (required)

Boat Make (required)

Boat Length (required)

Motor brand (required)

# of motors (required)

Team Members (required)

Do you have a Junior Angler (15 years old and younger) Please list name & age

Responsible Party that 1099 will be written to for applicable taxes on winnings (required)

I have read, understand and agree to the entire terms and stipulations of this application. All applications accompanied by either a $500 deposit or full payment are refundable in the event your application is denied.  Wild West Tournament Series steering committee maintains the right to accept or deny any team application.  The person signing this application further agrees that he/she is responsible for themselves, boat & crew at all times.  In the event that the captain cannot fish a tournament/s, the co-captain listed above will become responsible for all aspects of the team. Only the crew persons and captain listed on this application are allowed to participate in the competition portion of this series.  Substitution of a crew member or captain for any or all of the competition events is not allowed and subject to disqualification unless the substitution or addition is filed and approved 2 days prior to the effected event.  Qualification of a substitution or addition will be subject to the same criteria as the original application. The person signing this application has the ultimate authority and rights over their spot in the 2017 Wild West Series if approved. Wild West Tournament Series and participants hereby release Angler Armory, Inc, its volunteers, City of Madeira Beach, John's Pass Village & sponsors from all liability. I further understand that the decision to fish is the responsibility of the Captain and/or anglers. Upon approval of your application, this deposit and/or payment becomes non-refundable and will not be refunded in the event myself and/or my team does not participate in any or all of the 2017 competition events.

The person signing this application has the ultimate authority over the team including composition, boat, sponsors, boat #, etc regardless if they are named captain or not.

I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.
I also certify that:
I understand the questions and statements on this application.
I have read and understand the rules for the 2017 Wild West Tournament Series.
I understand the penalties for giving false information or breaking the rules.
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Signature (required)

ALL MEMBERS OF TEAM MUST ELECTRONICALLY SIGN PHOTO/VIDEO RELEASE FORM & LIABILITY RELEASE FORM PRIOR TO APPLICATION BEING ACCEPTED.

Entry Fees (tax included): $2996.00 **Cash or Check Only

A minimum deposit of $500 is required with application. Balance must be paid in full by March 15, 2017.

Make check out & mail to:
Angler Armory Inc.
14181 83rd Place N.
Seminole, FL 33776

RELEASE FORM

 

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